I am 67 and am on Medicare with Aetna as secondary insurance. I had been on Provigil for at least 10 years up until I turned 65 when I could not afford the cost ($575 monthly due to Medicare) to continue the medication. My doctor has given me the 30-day-trial form to fill out for Nuvigil; however, neither Medicare nor Aetna (secondary Part D) would even accept the trial request --because I am 67. Provigil was the first medication that really worked. I was dignosed with Narcolepsy when I was 15 so I have lived with this disorder for 52 years. Giving up Provigil due to the high cost of this medication was a very sad decision, as all the symptoms have come back. Is there any recourse for my situation?